Action - Familias en Acción - Growth monitoring and promotion - Infants and young children|Preschool-age children (Pre-SAC)|School age children (SAC)

Programme: Familias en Acción

Programme description

Familias en Acción is a large-scale CCT programme that began in 2002 and remains in operation at the time of writing. Children 7 years of age and younger in the lowest income category are targeted for the programme, which includes roughly the poorest 20% of households. The nutrition/health component transfer for Familias en Acción is US$ 17/month per mother, independent of the number of children in the household, which is equivalent to approximately 24% of total household expenditure. Conditions for receipt of the transfer include regular health visits and growth monitoring.

Programme type

Large scale programmes


US$ 204/hd/year. Total annual funding in 2004 was US$ 95 million.



WHO (2013) Essential Nutrition Actions – Improving maternal, newborn, infant and young child health and nutrition, which provides a compact of WHO guidance on nutrition interventions targeting the first 1000 days of life. Part I presents the interventions currently recommended by WHO, summarizes the rationale and the evidence, and describes the actions require to implement them. Part II provides an analysis of community-based interventions aimed at improving nutrition and indicates how effective interventions can be delivered in an integrated fashion. It shows how the essential nutrition actions described in the first part have been implemented in large-scale programmes in various settings, what the outcomes have been, and to examine the evidence for attribution of changes in nutritional outcomes to programme activities. This summary of FA is retrieved from the ENA Part II where FA is one of 32 large-scale community-based programs that has been reviewed in detail and evaluated.


Start date:

Target group: 
Infants and young children
Preschool-age children (Pre-SAC)
School age children (SAC)
Age group: 
Children below the age of 7 years
Implementation details : 

<p>Regular growth monitoring of children below the age of seven</p>

Coverage level (%): 
66% of municipalities (700/1060) and 5% of the population, roughly 400 000 households or 2.1 million persons
Outcome indicator(s): 

<p class="MsoNormal"><span style="font-size: 7.5pt; font-family: Verdana, sans-serif;">Height-for-age z-score (HAZ)&nbsp;</span></p>

M&E system: 

<p>Evaluation data of Familias en Acción has demonstrated an increase in HAZ score of 0.161 in children less than 24 months of age; though this increase is not significant, it translates to a 6.9% decrease in the risk of being chronically undernourished. In addition, Familias en Acción participants in urban areas experienced an increase in newborn weight of 57.8 g. This finding should be interpreted with caution since the programme was targeted to children, not mothers.</p>

Outcome reported by social determinants: 
Vulnerable groups

Revision log

Thu, 03/22/2018 - 14:19engesveenkCopy of the revision from Wed, 11/26/2014 - 16:00.published